NSA Co-Provider Portal

To advise and protect Patients from unexpected healthcare costs, The Centers for Medicare and Medicaid Services (CMS) has updated the No Surprises Act (NSA) for 2023, building on the base of NSA 2022 and the 2021 price transparency rule. The latest installment of the No Surprises Act stipulates that affiliated co-providers will be responsible for producing their own Good Faith Estimates (GFEs) for the uninsured or to be included with the and Notice and Consents (NAC) for insured patients. Convening providers must combine the GFEs produced by affiliated co-providers into a consolidated GFE for insured and uninsured patients.

What Does This Mean?

The updated NSA means that convening providers and affiliated co-providers will be close partners in compliance. Unfortunately, since the initiation of the NSA, co-providers have not faced consistent regulatory scrutiny, and responsibility has fallen to convening providers (hospitals) to comply. As a result, the legal requirements of the NSA are widely unknown by co-providers — and the few who know have received leniency for so long that they have little reason to believe enforcement will come.

Due to CMS having specific and ever-evolving requirements for compliant information and its presentation, healthcare providers need a dedicated team with regulatory expertise to ensure they are compliant. Additionally, the NSA calls for the production of NACs in addition to GFEs, creating additional work for convening partners and a lot of catch-up work for co-providers. This regulation means that, more than ever, convening partners and affiliated co-providers will need to communicate and work together.

Here’s How We Can Help

CorroHealth has developed an NSA solution that creates customized GFEs and provides a central location for required documents. We simplify the logistics and communication between overburdened healthcare providers with a central location to create compliant documents. Our NSA solution:

  • Allows convening providers to collectively build a GFE — regardless of their relationship with co-providers
  • Delivers GFEs directly to patients
  • Allows for the creation of a co-provider GFE for the inclusion in the NAC when the out-of-network co-provider chooses to balance bill a patient

These days, patients are looking to shop for healthcare much as they shop for consumer goods. Our No Surprises Act solution is a cost-effective way for health providers to automate the calculations needed to offer this patient-friendly option and remain compliant with the price transparency/NSA mandates in the future.

NSA (No Surprises Act) Solution from CorroHealth

Let CorroHealth’s NSA (No Surprises Act) Solution Make Compliance Easy

A hospital with a 10,000-line chargemaster, seven patient types, and twenty payer contracts would require up to 1.4 million calculations to simply meet the price transparency mandates of 2020. The comprehensive solution from CorroHealth addresses this detailed process in addition to the NSA complexities of 2022 and 2023 regulations. With CorroHealth, you provide a compliant solution to convening and co-providers with an easy-to-use process to select services and create GFEs and NACs within minutes, meeting the one business day turnaround required by CMS under the rule.

Episode 5: Price Transparency Changes in 2024

Episode 5: Price Transparency Changes in 2024

More than 2,024 years ago Heraclitus taught us the only constant is change. Now as we look forward to 2024, it’s a perfect time to prepare for changes coming to Price Transparency.

Episode 4: A Year of NSA Impact

Episode 4: A Year of NSA Impact

DHS has released its first annual report on how the No Surprises Act is impacting healthcare markets, and the results are both surprising and expected.

Episode 3: Unweaving Dispute Resolution Processes

Episode 3: Unweaving Dispute Resolution Processes

Our monthly series “No Surprises Act and Price Transparency” continues with our third installment, “Unweaving Dispute Resolution Processes” where we turn our attention to Independent Dispute Resolution (IDR) and Patient-Provider Dispute Resolution (PPDR).

Episode 2: Are Your NSA Documents Compliant?

Episode 2: Are Your NSA Documents Compliant?

Episode 2: June 14, 2pm EST Are Your NSA Documents Compliant?Join CorroHealth for episode 2 of our monthly series “No Surprises Act and Price Transparency.” In this second installment, “Are Your NSA Documents Compliant?” we explore the content and structure of...

Streamlining Compliance with the No Surprises Act

Streamlining Compliance with the No Surprises Act

Streamlining Compliance with the No Surprises Act   Understand Provider-Payer Responsibilities The No Surprises Act (NSA) is a new law that protects patients from unexpected medical costs. It was enacted in 2021 and came into enforcement in 2022. It has two...

Episode 1: Understanding NSA and Its Impact on Payers and Providers

Episode 1: Understanding NSA and Its Impact on Payers and Providers

As with any new legislation, the No Surprises Act has led to some confusion, particularly in the areas of implementation and ongoing impact.

That’s why we created No Surprises Act and Price Transparency, a New Monthly Series, specifically designed to clear the air, answer questions, and get you on the best path for success.

Leading the series is CorroHealth’s resident subject matter expert, Barbara Johnson, BSN, RN – Senior Revenue Cycle Consultant, who will clarify payers’ increased role in the process, the status of impactful legislation, and the processes providers should follow to comply.

Are Providers Ready for the No Surprises Act?

Are Providers Ready for the No Surprises Act?

Article originally published on Beckerspayer.com Monday, December 12th, 2022  Are Providers Ready for the No Surprises Act?   The No Surprises Act (NSA) had several top stories from 2022 including the recent Department of Health and Human Services...



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